When transcribing the neurologic review of systems, you hear the following sentence "No dizziness, seizures, or (aphagia/aphasia)." Which word be transcribed and why
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- When transcribing the neurologic review of systems, you hear the following sentence: "No dizziness, seizures, or (aphagia/aphasia)." Which word must be transcribed and why?Discussion: 1. What conditions can cause an abnormal MRI7You are a nursing student who is assigned to a busy medical-surgical unit that specializes in the care of patients with various neurologic disorders. One of your patients for the day is Mr. Choudhary, a 56 year old South Asian male with a primary diagnosis of cerebrovascular accident of hemorrhagic origin. You enter the room to conduct your morning assessment and you find that Mr. Choudhary is non-verbal but does seem to understand you. How do you think Mr. Chowdhary feels being unable to verbalize with you? How do you think you may best conduct your assessment while still being therapeutic to your non-verbal patient? How could you modify your assessment to be more certain that your non-verbal patient understands you?
- what is a neurological assessmentSCENARIO Identifying Data: MRI was performed through the brain, cervical spine, and upper thoracic region. Scans were generated in the transaxial, sagittal, and coronal (frontal) planes. Note: The image is an example and is not the MRI of this scenario MRI Report: Evaluation of the brain parenchyma demonstrates the presence of multiple areas of abnormal increased signal intensity scattered through the white matter of both cerebral hemispheres. These areas are periventricular in location . The pattern is most compatible with a demyelinative process. Scans through the cervical spine and spinal cord demonstrate no definite areas of abnormal increased or decreased signal within the cord. The discs are intact. Evaluation of the upper thoracic region demonstrates an appearance similar to that of the cervical region. Using the scenario above, answer the following questions: A. What is an MRI? Briefly explain how it works. B. What combining forms indicate the regions of the body imaged? C.…J. B. is a 77-year-old man who is known to your practice. He is brought in today by his daughter, who reports a new onset of confusion accompanied by UI (first noticed bed was wet a few nights ago). When you see the patient today, he is oriented to place and person (knows you and your office), but not to time, and does not recall much about events of the past few days. He says that he is eating and drinking as usual (but daughter is shaking her head to the contrary). He denies any change in bowel function, but is fearful of sleeping because he might “wet the bed.” Daughter states that he has been drinking a lot more water than usual and urinating more frequently. He denies any pain, other than arthritis. He was a regular attendee at the local senior center but has not been there for a week and seems to have forgotten about it. Past medical history: Known CAD, hypertension, hyperlipidemia, impaired fasting glucose, osteoarthritis of knees. Medications: Lisinopril 20 mg orally PO once…
- Decision-making to place a DNR order on a patient's record should include which of the following considerations (check all that apply): Select one or more: a. Four to six minutes after cardiac arrest, or loss of circulation, the brain suffers significant damage, with resulting cognitive deficits, and if it is not performed quickly enough, CPR may result only in the rescue of a severely brain-damaged individual. b. A decision for "full code" ("Attempt CPR") or "no code" (DNR/DNAR) should be weighed carefully against the patient's overall condition, health, prognosis, and goals of treatment. c. The success rate for in-hospital CPR attempts is very low, particularly for elderly patients, where success is defined as "surviving to discharge with baseline neurological function intact." d. Elderly patients subjected to CPR often suffer secondary injuries, including cracked ribs, broken sternum, and damage to internal organs. e. CPR promises very different results for…A client who experienced a left-sided stroke arrives at a clinic with his wife for a follow-up visit. The wife asks the nurse why her husband’s right side is paralyzed when he suffered a stroke on his left side. a. How would the nurse answer this client’s wife? b. What is the underlying explanation for this effect related to the injury on the client’s left side of the brain?A client who experienced a left-sided stroke arrived at the clinic with the wife for a follow up visit. The wife asked the nurse why her husband’s right side is paralyzed when he suffered a stroke on his left side. a. How will the nurse answer this client’s wife? b. What is the u underlying explanation for this effect related to the injury on the client’s left side of the brain?
- Select a disease or disorder to research. You may reference the textbook for possible diseases and disorders; however, you are not limited to the textbook and can choose other topics. Write a 5–6 sentence paragraph that includes the following: Introduce the disease or disorder Explain why you would like to research this disease Discuss any pathophysiology information that made you interested in this disease or disorderMrs. Smith was an 85-year-old widowed female, brought to the emergency department (ED) after her at-home caretaker found her in respiratory distress. The ED doctor noted that the patient was minimally responsive to verbal stimuli, afebrile, normotensive, tachycardic to 130 bpm, and tachypneic to 30 breaths/min. A chest radiograph (CXR) revealed right lower lobe consolidation. Based on her health history, it was found that she had recently been admitted to the hospital for significant weight loss (a few months ago) and she was diagnosed with advanced bowel cancer with lung, bone, and brain metastases. While in the ED, Mrs. Smith’s respiratory function deteriorated, and she was admitted to the ICU for closer observation. Within 24 hours of being admitted to the ICU, Mrs. Smith’s condition deteriorated rapidly, and a decision was made to talk with the family of what should be done in the event of respiratory or cardiac arrest. The son, who is the first contact listed, was informed about…. B. is a 77-year-old man who is known to your practice. He is brought in today by his daughter, who reports a new onset of confusion accompanied by UI (first noticed bed was wet a few nights ago). When you see the patient today, he is oriented to place and person (knows you and your office), but not to time, and does not recall much about events of the past few days. He says that he is eating and drinking as usual (but daughter is shaking her head to the contrary). He denies any change in bowel function, but is fearful of sleeping because he might “wet the bed.” Daughter states that he has been drinking a lot more water than usual and urinating more frequently. He denies any pain, other than arthritis. He was a regular attendee at the local senior center but has not been there for a week and seems to have forgotten about it. Past medical history: Known CAD, hypertension, hyperlipidemia, impaired fasting glucose, osteoarthritis of knees. Medications: Lisinopril 20 mg orally PO once…
